Jerusalem, NY · Yates County

No notary required

Application for One-Day Marriage Officiant License

This application is for a person seeking a one-day marriage officiant license in the Town of Jerusalem for a specific couple and ceremony date.

What this form is

The application requests a license for one person to officiate at the marriage ceremony of the named couple. It asks for the applicant’s contact details, proof of identity, date of birth, the couple’s names and addresses, and the ceremony date. The license is limited to the parties listed and expires after the ceremony or when the marriage license expires, whichever occurs first.

Who needs it

A person applying to officiate at a marriage ceremony in the Town of Jerusalem for the couple named on the application needs this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; it includes a sworn or affirmed statement before the Town Clerk or Deputy Town Clerk.

How to submit this form

  1. 1

    Download The Application

    Download the One-Day Marriage Officiant License Application.

  2. 2

    Complete The Application

    Provide the applicant’s details, proof of identity, the couple’s information, and the ceremony date.

  3. 3

    Sign And Date

    Sign and date the application and complete its sworn or affirmed statement before the Town Clerk or Deputy Town Clerk.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the One-Day Marriage Officiant License Application?
No. This application is signed without a notary, but it includes a sworn or affirmed statement before the Town Clerk or Deputy Town Clerk.
How do I submit the One-Day Marriage Officiant License Application?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the application ask for?
It asks for the applicant’s contact details, proof of identity and date of birth, the couple’s names and addresses, and the ceremony date.

Need something notarized?

This Application for One-Day Marriage Officiant License doesn’t need a notary — but if you have another Jerusalem form that does, a commissioned online notary can help.